CIS OMBudsman 2014 Annual Conference Evaluation Form

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1601-0014 can be found here:

Documents and Forms

Document Name Document Type
Form DHS CIS Ombudsman 2014 Annual Conference Evaluation Form Form and Instruction
DHS CIS Ombudsman 2014 Annual Conference Evaluation Form CISOMB 2014 Annual Conference Evaluation Form_Instrument.docx Form and Instruction
CISOMB 2014 Annual Conference Evaluation Form_Submission Form.docx CISOmbudsman 2014 Annual Conference Evaluation Form IC Document

Information Collection (IC) Details

IC Title:	CIS Ombudsman 2014 Annual Conference Evaluation Form	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DHS	CIS Ombudsman 2014 Annual Conference Evaluation Form	CISOMB 2014 Annual Conference Evaluation Form_Instrument.docx		No		Paper Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CISOmbudsman 2014 Annual Conference Evaluation Form	CISOMB 2014 Annual Conference Evaluation Form_Submission Form.docx	10/31/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.